Key result
Continuous posterior lumbar plexus block provides effective postoperative analgesia without morphine in 2 young children.
Why the study?
Postoperative pain is frequently poorly managed in children and opioid side effects limit their use; continuous neuroaxial block techniques have side effects limiting their use in children.
Does continuous posterior lumbar plexus block provide effective postoperative pain control in young children undergoing lower extremity orthopedic surgery?
Population
2 young children undergoing orthopedic surgery for lower extremity injuries
Comparison
Continuous posterior lumbar plexus block with local anesthetic infusion
Design
Case report
Follow-up
Postoperative period until discharge
Authors
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Hypothesis-generating for pediatric postoperative analgesia; larger controlled trials needed before clinical consideration.
Case Report (n=2)
No
Does continuous posterior lumbar plexus block provide effective postoperative pain control in young children undergoing lower extremity orthopedic surgery?
Continuous posterior lumbar plexus block may provide effective postoperative analgesia and minimize opioid requirements in young children undergoing lower extremity orthopedic surgery.
Sciard et al. (2001) conducted a case report in Acute postoperative orthopedic pain (n=2). Continuous posterior lumbar plexus block was evaluated on Postoperative morphine requirement. Continuous posterior lumbar plexus block using 0.2% ropivacaine provided effective postoperative analgesia in two young children, with neither child requiring postoperative morphine.
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